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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY F ROTH, MD

Active Sole Proprietor

GARY F ROTH, MD is a Emergency Medicine healthcare provider located in BLOOMINGTON, Illinois. NPI 1992732648 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · BLOOMINGTON, IL

Registration Details

NPI Number
1992732648
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (20.176852629372 yrs)
Last Updated
Sep 18, 2009
License
036052934 (IL)
Sole Proprietor
Yes

Practice Information

Address
2200 E WASHINGTON ST
BLOOMINGTON, IL, 617014364
Browse IL providers · Browse ZIP 61701
Phone
3096615111
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in BLOOMINGTON, IL

Name Credential NPI
LIZA M. PILCH M.D. 1750383139
GREGORY V GUARD MD 1528026515
SCOTT JOSEPH JANUZIK M.D. 1518903434
J JAY CORWIN MD 1902841067
SAM PITTMON MD 1265478770
THOMAS P FIERO MD 1376570341
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.